Can True Gynecomastia (Glandular Tissues) Be Cured by Liposuction?

Several common factors can cause gynecomastia including excessive levels of #estrogen, natural #hormone changes, use of recreational drugs or alcohol, medications and their associated side effects, and, various health conditions. Also, there are different types of #gynecomastia.There are three types of surgical #treatment #options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you.

The excision technique is used on cases of #gynecomastia where excess skin and glandular breast tissue must be removed and the areola or nipple needs reduction and repositioning to create a natural looking appearance. The incision patterns are determined by the specific condition of the patient. The doctor will recommend this procedure which combines the liposuction technique and excision technique to create a natural look. Patients are given specific instructions for the recovery period. 

Men who suffer from large #areolas may notice that after breast surgery, the skin of the chest muscles will tighten, causing the areolas to tighten and diminish in size. This is a result of the removal of glandular and/or adipose tissue.

The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.

Liposuction can be used to remove fat, but it is not effective in removing glandular tissue. I'm not sure what exactly she meant by a "divider" but there are some techniques that use an endoscopic shaver to remove the dense glandular tissue. The amount of glandular tissue in males varies widely, but if it is causing a distortion, one can consider surgical resection. In very mild cases, there may be little room for improvement and this would make the (small) risks of surgery outweigh the potential benefits. As far as whether to do the surgery, that is a very personal decision you should make based on the risks and benefits presented to you by your surgeon. If you are unsure after your visit, you can consider seeking a second opinion.  With regards to scars, there are always small scars, even with just liposuction, but with gynecomastia in general, the scars are usually very small and inconspicuous.

The answer is sometimes yes, but maybe not.  In most patients with gynecomastia there are both glandular and fat components. Dense, firm glandular tissue does not respond well to liposuction alone, whereas fat can be treated nicely with liposuction.  If the glandular component is fairly small and the fatty component is larger, liposuction alone can make a worthwhile impact in selected cases.  In most patients, both components need to be addressed.  Typically this means partial resection of the glandular component combined with liposuction for the fatty component.

It is important to understand liposuction removes fat and surgery removes glandular tissue (which is firm, more dense).  Gynecomastia can be observed if it isn't bothersome.  It's a cosmetic procedure.  Anytime there is surgery there will be scars.  The scars are generally well hidden or camouflaged around the areola.  This is the trade-off.  So in very mild cases, it may make more sense to wait.

Liposuction is an effective technique to treat gynecomastia.  It there is significant skin excess, additional skin excisions techniques may be needed.  John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

                  When
gynecomastia is caused by growth of glandular breast tissue surgical excision
is usually necessary to correct the problem. In contrast, when breast growth
occurs because of fat deposition, liposuction is the treatment of choice.

                  Glandular
tissue tends to be thicker and more fibrous than fatty tissue. When breast
tissue is present it can be very difficult to pass a liposuction canula through
the tissue. For this reason, liposuction is rarely effective when glandular
tissue is present.

                  Glandular
tissue usually requires surgical excision. This can be performed through a
periareolar incision with minimal scarring. Consultation with a board certified
plastic surgeon should help determine what specific option is best for you.

True gynecomastia involves excess growth of breast gland tissue. liposuction, even ultrasonic or other types can only remove fat, and can NOT remove glandular tissue. Therefore, it is essential to actually excise breast tissue. This can be done via a small inicision over the areola at the time of chest liposuction.

The fibrous glandular tissue cannot be removed by liposuction, only fat can be removed. Excision is necessary for removal of the breast tissue, however the incisions which are placed around the areola will fade with time and be almost imperceptible.

I would agree with most of what has been stated here.  

Fatty breast tissue


Soft (feels like fat on the upper hips)

Not generally confined to the tissue below the nipple

Patient is often a little over weight

Generally does great with liposuction


Glandular tissue


Firmer (rubbery consistency)

Generally confined to a few centimeters beyond the borders of the nipple

Generally requires excision


Many patients have a combination of both requiring excision through a small incision and contouring with liposuction.

Seems to me that  you have a important  grand component in your chest , just for the pictures therefore  direct excision can be necessary.